I just had my two year checkup and everything else looks great except for my AST and ALT levels (the internet says these are things related to the liver).They are 162 and 126 respectively, which is four times higher than what's considered the high end of normal.

My doctor's office doesn't seem too concerned; they're saying it's normal for DS patients to be this high.

Is this something I need to concerned about? Is there something I should be doing to lower them?

thankyou thats the easiest solution i lost 75kg but now i weigh 82kg so i guess thats not too bad 17 years with BPD/ds.

I've had my PCP handle all bloodwork for about 13 years. The suregeon's staff was about as knowledgeable as any other doc about nutrition, really. The DS is a mystery to most medical professionals. Even nutritionists and dieticians don't get it.

What you need is a PCP that is curious enough to partner with you to find a good balance and adjust as needed. I find best luck with younger docs. Bring your PCP information (printouts, links, and especially a diagram) of the DS to keep in your file. Also provide them with the list of annual labs. Don't count on your PCP doing all of the work with knowing your levels. Learn how to read your test results and insist on keeping a copy so you can compare with the last time and catch new trends and make adjustments. The docs aren't so good at that.

I moved to Venice, FL a couple years ago. I am 20 years post op and still get regular/annual checks. I see Dr John Southerland in Sarasota.

Teresa

Normal A1C is 5.0 - 5.5. There is nothing wrong with being a bit lower. Glucose around 90 is also normal. You don't need a surgeon, just a primary care.